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� <br />� <br />20� c� 0 2l i <br />c�ECTRICAL PERMIT AP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />(P) 425-257-8810 � FAX 425-257-8857 �(E) everetteps@everettwa.gov � www.everettwa.gov/permits <br />PROJECT SITE INFORMATION <br />PROJECT ADDRESS: ��� � �Z I '�' �j S� �� � � ���ZC�� <br />BUILDING AREA (if residential, new construction, remodel, or addition) SF <br />BUILDING TYPE: ❑ SFR-DETACHED ❑ SFR-ATTACHED ❑ DUPLEX ❑ MULTI-FAMILY -# OF UNITS: ❑ COMMERCIAL <br />USE OF BUILDING: <br />ELECTRICAL APPLICATION INFORMATION <br />r C'Li <br />CONTRACT PRICE OF WORK: $ 2C�%- <br />NUMBER OF DEVICES (if low voltage): <br />FIRE ALARM? ❑ YES ❑ NO <br />ASSOCIATED BUILDING PERMIT # (if applicable): <br />DESCRIPTION OF WORK: <br />��- G� i�-1��Z� 1 K l�l. A� � c:-� Ah� �-' ��� (�' -�� �-1 <br />CONTACT INFORMATION <br />OWNER NAME: �� TENANT NAME (If Commercial): <br />OWNER MAILING ADDRESS: sTREET �Z,� �.l l �� Gi� ��J�, <br />��n �I �-��C STATE v�I 1� Z,P �� �2 c� <br />OWNER PHONE: ��j G� �� 3 OWNER EMAIL: <br />coNTRa,croR NAnnE: MM COMFORT SYSTEMS <br />coNTwacroR A��REss: STREET 18103 NE 68TH ST SE, G200 <br />cin REDMOND sTATE WA Z,P 98052 <br />CONTRACTOR PHONE:425-881-7920 coN7'RACTOR Enn,4��:JWELLS@MMCOMFORTSYSTEMS.COM <br />'t 3o I7 <br />CONTRACTOR LIC. #(REQUIRED). Mi�(C,OhICS B�� ITY OF EVERETT BUSINESS LIC. #(REQUIRED): 054240 <br />PRIMARY CONTACT: ❑ OWNER ❑ CONTRACTOR ❑ OTHER (Please Specify) <br />CONTACT NAME: CONTACT PHONE: 425-881-7920 <br />JANETTE WELLS CONTACTEMAIL:JWELLS@MMCOMFORTSYSTEMS.COM <br />AGREEMENT: T hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this <br />type of work will be completed whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or <br />local law regulating construction or the pertormance of construction. That I am authorized by the owner of this property to pertorm the work for which application is made and 1 <br />comply with the State Contractors Law 18.27 RCW and 296.200 WAC. <br />� <br />� <br />OwnerlAuthorized Agent Signature Date <br />City of Everett O(ficial Use Only <br />FEE <br />� � �'�l �U <br />,l <br />/ <br />PERMIT # <br />E � � <br />� ����-��� �� <br />(Revised 10/12/2015) <br />